dc.contributor.author | Sumati, Patricia | |
dc.date.accessioned | 2023-02-12T07:12:49Z | |
dc.date.available | 2023-02-12T07:12:49Z | |
dc.date.issued | 2022 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke/handle/11295/162436 | |
dc.description.abstract | Background: Breast cancer is the most common cancer and the most common cause
of cancer death in women worldwide. It exerts a huge burden in form of significant
physical, emotional and financial strain on individuals, families, communities and
health systems across the globe. Optimal treatment adherence is a critical pillar for the
attainment of WHO Global Breast Cancer Initiative of significantly reducing the
global breast cancer mortality by 2040. However, attainment of this noble cause is
threatened by pervasive non-adherence to chemotherapy among patients diagnosed
with breast cancer world over.
Objective: To assess the determinants of non-adherence to chemotherapy among
breast cancer patients attending oncology clinic at Kenyatta National Hospital.
Methods: This was a descriptive cross sectional study that was conducted among 60
adult patients diagnosed with breast cancer who were non-adherent to chemotherapy
treatment at the oncology clinic of Kenyatta National Hospital. The study participants
were selected using census method. An interviewer-administered questionnaire was
used as the data collection instrument. The questionnaire contained questions elicit
information on the research subject guided by the study objectives. The study tool was
pre-tested at Kenyatta University Teaching and Referral Hospital, using 6
questionnaires. The study data was analyzed through descriptive statistics using the
Statistical Package for Social Sciences (SPSS, version 25) and presented through
percentages and frequencies. Association between the study’s independent and
dependent variables were evaluated using the chi-square test at 95% confidence
interval.
Result: Findings on patient related determinants; age (χ2= 5.583; p<.05), gender(χ2=
0.136; p<.05), education level(χ2= 3.148; p<.05), mode of administration (χ2= 51.00;
p<.05), inaccessibility to cancer treatment (χ2= 23.528; p<.05) and availability of
medications have significant association with non-adherence to chemotherapy
treatment (χ2= 27.824; p<.05).
Conclusion: The current study concluded that age, gender, education, mode of
administration, inaccessibility to cancer treatment and availability of medications
have significant association with non-adherence to chemotherapy treatment.
Recommendation: Proper health education on chemotherapy non-adherence among
age groups and level of education, hospitals should stock enough chemotherapy
medications and more cancer centers should be set at county levels and properly
equipped and staffed. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.title | Determinants of Non-adherence to Chemotherapy Among Patients With Breast Cancer at Kenyatta National Hospital | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |